Physician
Pradip Patel MD PC
Pradip Patel MD PC was paid $202K by Medicaid between Jan 2018 and Sep 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.
33Billing provider infoPRADIP PATEL MD PC
PHOENIX, AZ 85023
PHOENIX, AZ 85023
33aNPI1073867842assigned 11/01/2012
33bProvider typeInternal Medicine Physician
28Total paid$202K
24GClaims5,050
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arizona
Rank by total paid#134 of 395
Median peer was paid$68K
This provider vs. median3.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,477 | $39K | |
| 2019 | 1,102 | $35K | |
| 2020 | 641 | $29K | |
| 2021 | 488 | $25K | |
| 2022 | 645 | $36K | |
| 2023 | 451 | $23K | |
| 2024incomplete | 246 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 98% | 3,806 | 3,473 | $198K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 112 | 102 | $2K |
| 90686 | <1% | 73 | 67 | $764.85 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 17 | 13 | $633.29 |
| 90688 | <1% | 69 | 60 | $606.06 | |
| 94760 | <1% | 462 | 405 | $148.66 | |
| 82270 | <1% | 62 | 51 | $85.70 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 19 | 14 | $9.12 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 127 | 106 | $0.02 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 129 | 108 | $0.02 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 12 | 12 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 37 | 32 | $0.00 |
5 more codes
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 18 | $0.00 |
| 1125F | 0% | 16 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 44 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 35 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPATEL, PRADIP (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pradip D Patel DDS INC | Cudahy, CA | $504K |
| Clementon Family Practice & Ambulatory Care | Lindenwold, NJ | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.